SUBACROMIAL DECOMPRESSION + DISTAL CLAVICLE EXCISION GUIDELINES
The information below is meant as a guideline only. The professional skills of a therapist must come into play for each individual patient.
Protocols of…
Dr. Ben Robinson
PHASE ONE
0-4 WEEKS
RANGE OF MOTION
PROM as tolerated
IMMOBILIZER
0-2 weeks: Worn for comfort only
2-4 weeks: Discontinue
EXERCISES
0-2 weeks: Elbow, Wrist, Hand, ROM, Pendulums, and Wall Climbs.
Shoulder AAROM|AROM.
2 weeks: Deltoid cuff isometrics. Begin scapular protraction + retraction.
PHASE TWO
4-8 WEEKS
RANGE OF MOTION
Increase as tolerated to full.
IMMOBILIZER
None
EXERCISES
Advance to therabands and dumbbells as tolerated, capsular stretching at end-ROM to maintain flexibility.
PHASE THREE
8-12 WEEKS
RANGE OF MOTION
Progress toward full without discomfort.
IMMOBILIZER
None
EXERCISES
Advance strength training as tolerated including PNF. Begin eccentrically resisted motions.
Advance to sport and full activity as tolerated after 12 weeks.
